Association between Relative Handgrip Strength and Osteoporosis in Older Women: The Korea National Health and Nutrition Examination Survey 2014–2018

Ahn, Kwang–Ho; Lee, Yunhwan; Sohn, Tae-Yong; Kim, Dong Yun; Ryu, Mikyung; Gym, Ho; Lee, Sol

doi:10.4235/agmr.20.0076

Cited by 5 publications

(8 citation statements)

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“…It was found that body height and weight were independently associated with HS [ 33 ]. Some studies reported that the relative value of HS had an advantage for comparing different weight groups [ 14 , 34 , 35 ]. Chatterjee et al [ 36 ] found that HS was positively correlated with body weight(r = 0.86 to 0.87, both hands, aged from 7–73 years).…”

Section: Discussionmentioning

confidence: 99%

Association between relative handgrip strength and hypertension in Chinese adults: An analysis of four successive national surveys with 712,442 individuals (2000-2014)

et al. 2021

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Objectives This study aimed to identify the 15-year trends of handgrip strength-to-weight (relative HS) and assess the association between relative HS and hypertension among Chinese adults aged 20–69. Methods Using a complex, stratified, multistage probability cluster sampling, we analyzed data collected from 712,442 adults aged 20–69 years in four successive national surveys (2000–2014). We used a handheld dynamometer to measure strength and divided by body weight to calculate the relative HS. Blood pressure was recorded with a sphygmomanometer and hypertension was defined as resting systolic blood pressure at least 140 mmHg or diastolic at least 90 mmHg. The Mann-Kendall trend test examined trends in relative HS over time. We also computed odd ratios (OR) and 95% confidence intervals (95% CI) by tertile of relative HS and examined the association between relative HS and hypertension. Results The relative HS level decreased with the increase of age in both male and females (p trend <0.001). In each of four surveys, one interquartile decrease in relative HS was associated with an increased risk of hypertension by 44% (OR = 1.44, 95%CI: 1.40–1.47), 58% (OR = 1.58, 95%CI: 1.54–1.62), 48% (OR = 1.48, 95%CI: 1.45–1.52), 43% (OR = 1.43, 95%CI: 1.40–1.47), respectively. Conclusion In the Chinese adult population, the relative HS level decreased from 2000 to 2014 across all ages in both males and females. A lower relative HS was associated with a higher risk of hypertension. The findings provided evidence for the association between muscle strength and hypertension in large-scaled population.

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Section: Discussionmentioning

confidence: 99%

Association between relative handgrip strength and hypertension in Chinese adults: An analysis of four successive national surveys with 712,442 individuals (2000-2014)

et al. 2021

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“…Ahn et al. reported that left hand grip strength was significantly associated with osteoporosis in female aged 60–69 years, while not found in aged 70 years and in the right hand ( 51 ).…”

Section: Discussionmentioning

confidence: 99%

Sarcopenia and osteosarcopenia among patients undergoing hemodialysis

Xiang

Zhou

2023

Front. Endocrinol.

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BackgroundSarcopenia and osteoporosis are closely interconnected and associated with adverse health outcomes. Osteosarcopenia is the concurrent presence of the two conditions and has rarely been reported in hemodialysis patients. Whether hemodialysis patients with osteosarcopenia are at greater risk of mortality than those with either condition alone remains unknown. The aim of this study was to explore the prevalence of sarcopenia and its association with osteoporosis and to determine its impact on survival risk in hemodialysis patients.MethodsA total of 209 adults undergoing hemodialysis were enrolled from the dialysis center in the West China Hospital of Sichuan University, and our study was registered at the Chinese Clinical Trial Register (number: ChiCTR2100043932). Muscle mass, handgrip strength, bone mineral density (BMD), and biochemical parameters were assessed. All deaths were recorded during a follow-up of 35.15 ± 15.37 months.ResultsSeventy-eight patients were diagnosed with sarcopenia, with a prevalence of 37.3%. After adjustment for potential confounders, age (OR=1.094, P <0.001), female sex (OR= 3.44, P =0.005), diabetes (OR=3.756, P =0.008), CRP (OR=1.09, P =0.015), serum magnesium (OR=0.755, p=0.042) and BMI (OR=0.701, P <0.001) were independently associated with sarcopenia. Among the 209 patients, 103 patients completed the BMD assessment. The prevalence of osteosarcopenia was 22.3%, while 20.4% of participants had sarcopenia alone and 12.6% had osteoporosis alone. The proportions of patients who died were 13.0% for nonsarcopenia&nonosteoporosis, 15.4% for osteoporosis alone, 47.6% for sarcopenia alone, and 52.2% for osteosarcopenia. Cox regression analysis showed that osteosarcopenia was independently associated with all-cause mortality (HR=3.74, 95% CI: 1.172-11.938), while osteoporosis alone and sarcopenia alone were not.ConclusionPatients undergoing hemodialysis had a high incidence of sarcopenia and osteosarcopenia, muscle mass and strength showed a significant association with BMD, and osteosarcopenia might have a powerful impact on mortality in those patients.Clinical trial registrationhttp://www.chictr.org.cn/, identifier ChiCTR2100043932.

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“…Common confounding variables in medicine are the attributes of subjects, and most studies related to diseases consider confounders based on sociodemographic and socioeconomic characteristics. Age, BMI, exercise, and occupation have been used in previous studies [ 2 , 11 , 13 , 23 , 24 , 27 , 38 ] and were selected as adjustment variables because these factors may influence results related to HGS or arthritis. Additionally, we adjusted for the potential confounders of education level, alcohol consumption, smoking status, and household income associated with HGS or arthritis based on previous studies [ 2 , 13 , 38 ].…”

Section: Methodsmentioning

confidence: 99%

“…Age, BMI, exercise, and occupation have been used in previous studies [ 2 , 11 , 13 , 23 , 24 , 27 , 38 ] and were selected as adjustment variables because these factors may influence results related to HGS or arthritis. Additionally, we adjusted for the potential confounders of education level, alcohol consumption, smoking status, and household income associated with HGS or arthritis based on previous studies [ 2 , 13 , 38 ]. We added one potential confounder of residential area related to regional differences, income, and environment.…”

Section: Methodsmentioning

confidence: 99%

Association between arthritis and hand grip strength indices combined with anthropometry in an older Korean population

Chi,

Lee

2023

PLoS ONE

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Background Hand grip strength (HGS) is related to arthritis and all-cause mortality. Many studies have examined the association between HGS and arthritis, but these studies did not consider relative HGS indices. The objectives of this study were to examine the association between arthritis and HGS indices in an older Korean population and to compare an absolute HGS index and a relative HGS indices. Methods In a large-scale cross-sectional study, a total of 16,860 subjects older than 50 years from the Korea National Health and Nutrition Survey from 2014 to 2019 were included for statistical analysis. A binary logistic regression model was used to examine the association between arthritis and HGS indices in crude and covariate-adjusted models. Results In the crude analysis, all anthropometric and HGS indices were associated with arthritis except for weight in men. In adjusted models 1 and 2, among the anthropometric indices, waist circumference (WC) and waist-to-height ratio (WHtR) were associated with arthritis in men but not in women. Absolute HGS and all relative HGS indices showed a negative association with arthritis among both men and women, and the magnitude of the association of arthritis with the absolute HGS index and the relative HGS indices was similar. However, the magnitude of the association between all HGS indices and arthritis was higher for men than for women except in the crude analysis. Discussion Absolute and relative HGS indices had negative associations with arthritis, and the magnitude of the association between the absolute HGS index and arthritis and between the relative HGS indices and arthritis was similar in all models. To our knowledge, this is the first report of an association between arthritis and relative HGS indices, which was not observed in previous studies.

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Association between Relative Handgrip Strength and Osteoporosis in Older Women: The Korea National Health and Nutrition Examination Survey 2014–2018

Cited by 5 publications

References 35 publications

Association between relative handgrip strength and hypertension in Chinese adults: An analysis of four successive national surveys with 712,442 individuals (2000-2014)

Association between relative handgrip strength and hypertension in Chinese adults: An analysis of four successive national surveys with 712,442 individuals (2000-2014)

Sarcopenia and osteosarcopenia among patients undergoing hemodialysis

Association between arthritis and hand grip strength indices combined with anthropometry in an older Korean population

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